Circular tummy tuck versus extended? (Photo)

You will need 360 tummy tuck, and bbl, you have enough fat in your back to do the bbl, the cut en the upper butt won’t make the but more flatter, don’t worry about that, I always do liposuction bbl and 360
Tummy tuck and the butt look much better always

Hello RideWhitinTheStorm. Thank you for your question regarding whether an extended tummy tuck or a circular tummy tuck is better for your goals.

Based on your concerns, if you do not want a smaller, lifted buttock, I recommend the extended tummy tuck. This procedure will address your stomach laxity, muscle weakness, and excess skin without affecting your buttocks. Additionally, you could consider liposuction of the flanks and fat transfer to the buttocks for more of an hourglass shape. This combination can provide the contour you desire while enhancing your buttock volume.

The tummy tuck will be effective in tightening your abdominal muscles and removing excess skin, giving you a flatter and more toned stomach. Given your goals and concerns, I don't think you need the 360 body lift, as it might impact your buttocks more than you prefer.

Good luck with your procedure, and I hope this helps to answer your question regarding the best tummy tuck option for you.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

Hello and thank you for your question. From the pictures you have provided, i cannot determine if you have any striae (stretchmarks) present. There is a moderate/severe amount of excess skin and subcutaneous fat present diffusely throughout your trunk- from your abdomen into your flanks and extending into your back. This is asymmetric in distribution. There are skin folds across your lower abdomen extending to your mid flanks, and you also have multiple asymmetrically present throughout your mid back. Having had 4 kids, you most likely have some degree of diastasis (separation) of your rectus abdominis muscles located centrally in your abdomen (the "6 pack" muscles). Based on all this, you would benefit from an abdominoplasty (tummy tuck- includes muscle repair) and 360 liposuction and fat grafting to your buttocks (BBL) to best help improve your abdominal/trunk contour.
The difference between a "standard" and "extended" tummy tuck is just how far your incision extends to the side, and this is based on how much excess skin and fat needs to be removed to produce an aesthetic contour. They are essentially the same procedure- the goal is improved body contour at the expense of scars, so this is important to keep in mind throughout the process. In your case, the scar would extend around to your sides.
The reason I said abdominoplasty instead of circumferential belt lipectomy ("circular tummy tuck") is because the excess skin in your back is located more in your mid/upper back, not as much in your lower back.
Liposuction would definitely provide additional benefit for you, particularly to the contour of your flanks and back, and is necessary for the buttock fat grafting (BBL) portion of the procedure. Keep in mind that for you, given that you have excess skin on your mid/upper back which is not addressed with the 360 liposuction or the abdominoplasty procedures, and which will most likely become more noticeable and even appear deflated after liposuction, you would likely need another procedure to address your excess mid/upper back skin at some point in the future in order to further improve your overall trunk contour. This would most likely consist of a staged upper back lift- the incision can be hidden in your bra line. A benefit of staging these procedures, is you can do further revision liposuction at that time, to correct any asymmetries or to provide further improved contour overall.
With all that said, it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from any photos and descriptions provided. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

Dear RideWhitinTheStorm,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I would begin with your breasts using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. At the same time or later, a tummy tuck can be done. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. After these have been completed, you can consider posterior continuation. You can have a Brazilian butt lift with fat transfers.

Best Wishes,

Gary Horndeski, M.D.

Definitely you may get away with the combination of an Extended tummy tuck, muscle repair which will be key to achieve a smaller waist, mons lift and lipo to waist and lovehandles and then do fat grafting to buttocks and hip dips.
The CTT is to do buttocks lift in the combination of tightening of lovehandles. If you don’t mind end up with the same degree of saggy lovehandles and buttocks, you are all set.
Be encouraged!!
Dr. Cárdenas

Thanks for your question.
In your case based on your pictures I will recommend you a extended tummy tuck with BBL procedure, that will guarantee you good results, flat abdomen and more projection in your buttocks area. Make sure your hemoglobin level are not in the limit so you do not need to worry about blood transfusion. Good luck in your procedure.
Dr. Quiroz

The goal in doing a extended tummy tuck is removing the loos skin that might be present also at the sides of your abdomen while doing a little lift of the outer thigh. But in case your butt has some ptosis or is saggy you should do a circular/belt tummy tuck because doing so you do a whole lower body lift that helps with lifting and better defining the thighs and butt without flattening it. Also helping by doing the full body liposuction and BBL to give it a better shape and fullness.

I think you would do well with liposuction to your flanks and an extended tummy tuck. This would not flatten your buttock and would be safer.

The purpose of having the 360 incision for the tummy tuck is to improve skin laxity on the hips and buttocks. If this does not concern you, from the photos it appears you would have a nice improvement from an extended tummy tuck with liposuction for contouring. You can also consider using liposuction techniques to give the illusion of a BBL without having the fat transfer. Further discussion of your goals is needed.